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Abnormal urinalysis in acute appendicitis.

M Yamamoto, T Ando, S Kanai

    Hinyokika Kiyo. Acta Urologica Japonica
    |October 1, 1985
    PubMed
    Summary
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    Abnormal urinalysis results in acute appendicitis patients often indicate a ruptured or inflamed appendix near the urinary tract. This finding was more common in female patients across both adult and pediatric groups.

    Area of Science:

    • Urology
    • Gastroenterology
    • Pediatrics

    Background:

    • Acute appendicitis is a common surgical emergency.
    • Urinalysis is a routine diagnostic test.
    • The correlation between urinalysis abnormalities and appendicitis is not fully understood.

    Purpose of the Study:

    • To correlate abnormal urinalysis findings with operative findings in patients with acute appendicitis.
    • To investigate potential links between appendicitis severity and urinary tract status.

    Main Methods:

    • Retrospective review of 32 patients (20 adults, 12 children) with acute appendicitis.
    • Analysis of urinalysis results (clean-catch method).
    • Correlation of urinalysis data with surgical findings.

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    Main Results:

    • Abnormal urinalysis was observed in 10 adults and 5 children.
    • Abnormal findings were more frequent in female patients.
    • Most patients with abnormal urinalysis had appendicitis near the urinary tract (ruptured or inflamed).

    Conclusions:

    • Abnormal urinalysis can be a significant indicator in diagnosing acute appendicitis, especially when the appendix is near the urinary tract.
    • Further research may clarify the diagnostic utility of urinalysis in appendicitis management.